Mrs Martie Brewer Vaughn, FNP in Philadelphia, MS

Mrs Martie Brewer Vaughn, FNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Mississippi. Her current practice location is 1014 Holland Ave, Philadelphia, Mississippi. You can reach out to her office (for appointments etc.) via phone at (606) 656-4371.

Mrs Martie Brewer Vaughn is licensed to practice in Mississippi (license number R805579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245312404.

Contact Information

	Mrs Martie Brewer Vaughn, FNP
	1014 Holland Ave, Philadelphia, MS 39350-2160
	(606) 656-4371
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Martie Brewer Vaughn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1014 Holland Ave, Philadelphia, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245312404
Provider Enumeration Date: 10/19/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 4587555149
Enrollment ID: I20040323000738

Medical Identifiers

Medical identifiers for Mrs Martie Brewer Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245312404	NPI	-	NPPES
00118801	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R805579 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Martie Brewer Vaughn allows following entities to bill medicare on her behalf.

Entity Name	Neshoba County General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114057247 PECOS PAC ID: 6204738289 Enrollment ID: O20040121000618

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Martie Brewer Vaughn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Martie Brewer Vaughn, FNP Po Box 486, Philadelphia, MS 39350-0486 Ph: () -	Mrs Martie Brewer Vaughn, FNP 1014 Holland Ave, Philadelphia, MS 39350-2160 Ph: (606) 656-4371

Reviews and Comments

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Mrs Martie Brewer Vaughn, FNP - Medicare Nurse Practitioner in Philadelphia, MS